Parathyroid hormone (PTH) binds its cognate G-protein-coupled receptor (PTH1R) and signals through both adenylyl cyclase and phospholipase C (PLC). Cterminal determinants of the PTH1R interact with theMultiple signals emanate from the activated parathyroid hormone (PTH) 1 and parathyroid hormone-related protein receptor (PTH1R) (1, 2). Activation of the various pathways and subsequent downstream processes mediated by the PTH1R depends on the cellular environment. PTH1R actions in the proximal convoluted tubule (PCT) of the kidney, for example, illustrate that its signaling depends not only on the cell type but also on the presence of the receptor on a specific membrane surface.The PTH1R is abundantly expressed in the PCT, where it mediates PTH signaling primarily via activation of adenylyl cyclase (AC) and phospholipase C and by increasing intracellular calcium ([Ca 2ϩ ] i ). PTH-mediated inhibition of phosphate uptake, which is caused by internalization and degradation of the type IIa sodium-phosphate co-transporter (Npt2), is an often-studied response in opossum kidney (OK) cells (3-5) and the PCT (6, 7). It has recently become appreciated that in polarized epithelia, such as the PCT, discrete microdomains are formed in the apical and basolateral compartments, a process that arises from targeted expression of specialized proteins (8 -10). The actin cytoskeleton and associated proteins maintain cell polarity by blocking lateral movement and mixing of apical-and basolateral-membrane constituents. Several lines of evidence suggest that the PTH1R, although expressed in both apical and basolateral compartments of the PCT (11,12), is differentially coupled to signaling pathways. First, the PTH1R in isolated basolateral membranes activates AC in vitro, whereas receptors expressed in apical membranes do not (13). Second, PTH administered to the apical side of OK cells, grown on membrane filters, displays an EC 50 (5 pM) for the inhibition of phosphate uptake that is 100-fold more sensitive than when PTH is administered to the basolateral surface (500 pM) (14, 15). Third, PTH mediates Npt2 internalization and degradation via cAMP/protein kinase A when applied to the basolateral surface and via PLC/protein kinase C when applied to the luminal surface of isolated PCT segments (7). Last, sequential perfusion of PCT cells in primary culture with PTH at 20-min intervals transiently increases [Ca 2ϩ ] i to the same amplitude but results in a progressive decrease in the activation of AC (16). Although these results might be compatible with a model involving two PTH receptors, publication of several mammalian genomes have not revealed relevant PTH1R isoforms, suggesting that cell-specific factors are responsible for diverse signaling by this receptor. Cell-specific signaling by the PTH1R is obviously dependent on the repertoire of effector molecules expressed in a given cell.We have recently shown that signaling properties of the PTH1R are profoundly affected by its direct binding of a "scaffolding" protein; the Na ϩ /H ϩ ...